Free assessment

Free assessment

Dear Applicant,
Please complete the following form to help us to provide an initial assessment of your prospects of obtaining permanent residency/Visa in Australia and/or New Zealand. Be assured that the information provided will be treated as confidential.

Step 1 of 7

14%

Personal Information

Full Name*

Do you have Spouse ?

Yes

No

Full Name (Spouse):

Gender*

Gender (Spouse):

Date of birth (You)*

Date of birth (Spouse)

Age (You)*

Age (Spouse)

Nationality (You):*

Nationality (Spouse):

Tel (Home)*

Tel (Work):

English Ability*

Fluent

Functionat

Limited

English Ability (Spouse)

Fluent

Functionat

Limited

Visa Type*

Country of Interest*

Other Languages you can speak:

Address*

Street AddressCityState / Province / RegionZIP / Postal CodeCountry

Do you or any family members ever have/had any medical conditions?

Yes

No

lf yes, give details:

Do you or any family members ever have/had any police record/conviction?

Yes

No

lf yes, give details:

Family Detail (Your Children)

Full Name

D.O.B mm/dd/yyyy

Age

Country Of Residence

Occupation (IF Student, Please Provide Course Name & Institution

Migrate With You (Yes/No)?

Education & Professional (YOU)

Education

From

To

Full Name Of Qualification Obtained

Internal / External / Twinning

Full / Part Time

Education & Professional (Spouse)

Education

From

To

Full Name Of Qualification Obtained

Internal / External / Twinning

Full / Part Time

Employment & Employment History (You)

No. of Years

From (Month/Year)

To (Month/Year)

Employer - Which City - Type Of Business

Position Held

Top 3 Level (Yes / No)

No. Of Employee

Employment & Employment History (Spouse)

No. of Years

From (Month/Year)

To (Month/Year)

Employer - Which City - Type Of Business

Position Held

Top 3 Level (Yes / No)

No. Of Employee

Financial Details: Total Net Anywhere In The World

(Net = Market Value less Loans) value in local currency

Property (land/house)

Shares/Cash Deposits

Motor Vehicles

Gold Bullion/ Jewellery/ Antiques

OTHERS (please state type of asset)

Net Total

Business History

Please fill in this question if you are * a business owner OR * senior manager with a major corporation (turnover min. AUD$10 million p.a.) lf you are a business owner and have more than 2 businesses, contact us. for an appointment.

Do u own a business

Yes

No

Name Of Business #1

Type Of Business

Date set up/acquired

Your Position / Title

Give details for past 4 years, starting with the most recent year.

Year

Turnover

Net Assets Of Business (Total Assets-Total Liabilities)

% Shareholding Of You/Spouse

Name Of Business #2

Type Of Business

Date set up/acquired

Your Position / Title

Give details for past 4 years, starting with the most recent year.

Year

Turnover

Net Assets Of Business (Total Assets-Total Liabilities)

% Shareholding Of You/Spouse

Relatives

Do you have relatives in Australia ?

Yes

No

Where is/are your relative(s) staying?

Address

Street AddressCityState / Province / RegionZIP / Postal CodeCountry

Your relative has been a: citizen / PR for years?

Do you have relatives in New Zealand ?

Yes

No

Where is/are your relative(s) staying?

Address

Street AddressCityState / Province / RegionZIP / Postal CodeCountry

Your relative has been a: citizen / PR for years?

Thank you for completing thls assessment form. lf you have any difficulties in answering any questions, please do not hesitate to contact us. Feel free to contact us for an appointment.